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Pittsburgh Penguins Ville Koivunen’s NHL Performance is Beginning to Impress
An overtime goal against the Nashville Predators has made many realize that Ville Koivunen projection for his future NHL performance is clearly making him a fixture in the lineup. He is showing a well-round game, early on in his NHL career. Let's discuss the details. An Expected Contract with an Unexpected Price A 23-year-old restricted …
New Jersey Devils Road Trip Will Be Pivotal
The upcoming New Jersey Devils road trip will test whether New Jersey can carry its recent momentum into three challenging matchups away from home. It begins Saturday against the Islanders before a quick turnaround in Toronto on Sunday. Tuesday’s finale in Winnipeg brings an emotional storyline, as Connor Hellebuyck returns to face his former team. …
Letters: Magical time for Luka Doncic and the Lakers
Readers of the Los Angeles Times Sports section give their thoughts on Luka Doncic, the Lakers, Lincoln Riley, Justin Herbert and more.
Letters to Sports: Magical time for Luka Doncic and the Lakers
Readers of the Los Angeles Times Sports section give their thoughts on Luka Doncic, the Lakers, Lincoln Riley, Justin Herbert and more.
California's El Pollo Loco says it's found a sweet spot for concerned consumers
El Pollo Loco posted positive third quarter earnings on Thursday and has seen its shares rise nearly 50% so far this year.
St. Paul business hub meant to aid Latino startups needed help itself to open
After delays caused by COVID, inflation and the ICE crackdown, the $11 million Plaza del Sol Latino center has finally opened in the Payne-Phalen neighborhood.
High school flag football: City Section playoff scores and schedule
CIF City Section high school girls' flag football playoff scores and schedule.
High school football: Friday's playoff scores
Results from CIF City and Southern Section high school football scores on Friday, Nov. 6.
Packers QB Jordan Love Bracing for NFL Punishment
Green Bay Packers quarterback Jordan Love didn’t have to say a word to let everyone know how he feels about NFL officiating right now.Love and his wife, Ronika Stone, dressed up as blind referees for Halloween. Their costumes were complete with striped shirts, sunglasses, walking sticks, and yellow penalty flags. Stone posted the video on […] The post Packers QB Jordan Love Bracing for NFL Punishment appeared first on HEAVY.
76ers’ LeBron James Flails in Nightmare Return to Cleveland
LeBron James got the chance to return to Cleveland on Friday night, which is usually a special homecoming for the kid from Akron, Ohio who made good for his hometown team. Now playing for the Philadelphia 76ers, James got his usual pregame admiration from the Cleveland faithful, who have long-since forgiven him for “The Decision” […] The post 76ers’ LeBron James Flails in Nightmare Return to Cleveland appeared first on HEAVY.
With death sentence clemency, Newsom takes another big political risk
Amid speculation about how the mass commutation could help or hurt his presidential prospects in 2028, Gov. Gavin Newsom's decision pushes the boundaries of his authority and sends a clear message to ...
Six Flags Entertainment Q3 Earnings Call Highlights
Six Flags Entertainment (NYSE:FUN) reported modest third-quarter revenue and earnings growth on a same-park basis, but forecast a decline in fourth-quarter adjusted earnings after weather and ride closures contributed to a 9% drop in October attendance. The company also announced a portfolio-wide s
Six Flags Entertainment Corp (FUN) (Q3 2026) Earnings Call Highlights: Strong Cash Flow and ...
Six Flags Entertainment Corp (FUN) posted 11% year-to-date adjusted EBITDA growth and a $300 million free cash flow improvement, but flagged a 9% October attendance decline and softer Q4 outlook.
40+ homes and businesses impacted by emergency flash flooding in Tennessee
Tellico Plains is collecting water, cleaning supplies, gloves and shovels for Copperhill, as a community moves into recovery after experiencing damaging flash flooding.
A Flag for Every Hero: Local Business Gives Back This Veterans Day
Budget Flag and Banner is planning a 20-hour installation marathon to honor local veterans with free flag services on Nov. 11.
Felicity Porter is messy, earnest and a little cringe. Her Gen Z fans are here for it.
For all her quirks and flaws and rash decisions, Felicity keeps learning to trust herself. It’s another reason Gen Z viewers feel connected to her.
Ohio Gov.-elect Amy Acton urged to address LGBTQ+ health
Ohio has elected a new governor. Now Equitas Health is calling on Amy Acton to prioritize HIV prevention, address LGBTQ+ health disparities, and ensure the people most affected have a voice in her administration.
Kalispell Chamber of Commerce Recognizes Local Businesses and Entrepreneurs at Annual Grand Event
Thursday night, the Kalispell Chamber of Commerce brought together local businesses and organizations to celebrate entrepreneurship and community investment in the Flathead Valley. At the 2026 Grand Event, the chamber presented eight awards that recognized honorees’ outstanding work and commitment to creating a better Kalispell. This year’s theme, Venture Boldly: Forward Together, reflected the city’s […]
Why Andrew Nembhard Is Now Even More Important To Pacers
Pacers Guard Andrew Nembhard is becoming increasingly important to the Pacers with Tyrese Haliburton sidelined, but can he handle the expanded role? Nembhard has become more of a factor in Indiana's game plans with Haliburton's extended absence, often being trusted with the main ball-handling duties. With increased expectations, Nembhard has the opportunity to prove his …
7th Annual Green Health Cultural Festival
It’s Cookoff Time, Y’all! The 7th Annual Green Health Cultural Festival, a day of flavor, tradition, and community is happening Wednesday, November 11.
Ratchet & Clank: Ranger Rumble Shutting Down Less Than a Year After Launch
It was announced less than a year ago, but Ratchet & Clank: Ranger Rumble — a mobile spin-off of the flagship PlayStation series — has been canceled.
Ohio State’s Backs Are Against The Wall Against Oregon
With two losses heading into November, Ohio State is in unfamiliar territory. Only four games remain, and Oregon isn't going to just let the Buckeyes win.
Razorback Report Card: Auburn Pregame
Arkansas doesn't need another reminder of what went wrong against Missouri. It needs a performance that makes the corrections visible. The Razorbacks visit Auburn on Saturday, November 7, with kickoff scheduled for 11:45 a.m. CST on SEC Network. Arkansas enters 3-5 overall and 1-4 in SEC play. Auburn is 4-4 and 2-4 in the conference. …
How San Antonio connects military and civilian medicine
Robert Miller, MD, shares how UT Health San Antonio’s Military Health Institute advances military medicine and supports service members, veterans and their families through research, education and partnership.
Hackers Target OpenSSH SSHole Flaw Within Hours of Disclosure, Gain Root on Honeypot
Attackers are exploiting CVE-2026-123158 in OpenSSH, with root access confirmed on an Alpine Linux honeypot. OpenSSH 10.6p2 fixes the flaw.
Wake Forest Learns About Merrimack
While much of the conversation surrounding Wake Forest this week has been about the #16 spot in the first playoff rankings, the Demon Deacons are trying to get ready for a team with which they have zero familiarity. Time to learn about the Merrimack Warriors. Wake Forest Learns About Merrimack Former DII School Now at …
OpenAI Launches GPT-6 Cyber After AI Helps Find 81 Firefox Flaws, 948 Linux Exploits
OpenAI unveils GPT-6 Cyber, reporting 948 Linux privilege escalation exploits and 81 unknown Firefox flaws discovered with its help.
Meteorite found in the Sahara shows what Mars was like 4.1 billion years ago
Teghaza 001, a meteorite found in 2022 in West Africa, could reveal clues about the earliest history of Mars.
How a ‘flaming liberal’ podcast host won a US House seat in conservative Missouri
Fred Wellman, host of the progressive podcast On Democracy, defeated longtime incumbent Republican Ann Wagner
You Can’t Make America Healthy by Letting Polluters Off the Hook
No parent wants pollution in their child’s lungs, write Elizabeth Bechard and Celerah Hewes.
Big John McCarthy Reveals Why He Does Not Officiate UFC Events Anymore
Big John McCarthy is known as the Godfather of MMA officiating, having called fights as early as UFC 2. The veteran referee is also one of the most knowledgeable about MMA rules, having written the original rulebook for the UFC and later helped create the Unified MMA rules way back in 2000 that are still …
Kalispell Chamber honors business and community leaders
The chamber's highest honor, the Flathead Legacy Award, was presented posthumously to Paul D. Wachholz, who died at 89 on July 28.
High school flag football: City Section playoff scores and schedule
CIF City Section high school girls' flag football playoff scores and schedule.
Experts Demonstrate Barracuda Email Security Gateway Chain Enabling Root Access Without Login
Two patched Barracuda Email Security Gateway flaws can be chained to execute root commands without authentication, watchTowr demonstrated.
Inspired Entertainment Inc (INSE) (Q3 2026) Earnings Call Highlights: Margin Expansion and ...
Inspired Entertainment Inc (INSE) posted a 46% EBITDA margin and 2.8x leverage in Q3 2026, while flagging a Brazil shutdown and UK duty hike as it prioritizes share repurchases.
Hegseth’s ‘fight, fight, fight’ video pours fuel on impeachment flames
In seeking to fend off impeachment, Defense Secretary Pete Hegseth may have strengthened his critics’ case for it.
Socorro ISD employee health insurance cost rise +$100 a month after tax proposal rejected
Socorro ISD employees could see health insurance premiums jump by $100+ a month after voters rejected a $49M tax proposal. The board moved ahead with a plan holding district contributions flat as cuts begin.
CFP Explains Puzzling Reasoning For UCLA Snub
UCLA football has taken the college football world by storm this season: one of three undefeated teams (8-0) remaining in FBS, ranked No. 5 in the AP Poll and alone atop the Big Ten’s standings. But the College Football Playoff Committee wants more. In the first edition of the 2026 CFP Rankings, UCLA shockingly came […] The post CFP Explains Puzzling Reasoning For UCLA Snub appeared first on LA Sports Report.
Political newcomer Kevin Pflager defeats two-term Bellevue Mayor Rusty Hike
Kevin Pflager, a 30-year-old political newcomer, defeated two-term incumbent Mayor Rusty Hike in the Bellevue mayoral election.
Gemini Omni 1.2 Flash now GA: cost-effective video
Gemini Omni 1.2 Flash is now generally available on Google Cloud: fast, cost-effective, and reliable video generation and editing via API.
Health officials flag 7 Middle Tennessee locations for possible measles exposure
Nashville News, Weather, and Sports
Notre Dame vs. Miami: One fatal flaw could decide everything
Notre Dame desperately needs a win against Miami, and they could have one key edge.
Six Flags Entertainment Corporation Q3 2026 Earnings Call Summary
Moby summary of Six Flags Entertainment Corporation's Q3 2026 earnings call
Medline lays off 300, separately unwinding hospital bed business amid recall
The layoffs come at a time when the company is producing strong financial results and plans on 2027 price hikes to pay for rising expenses from inflation.
Deep Dive on the Pelicans’ Future Draft Picks
Watching a team blow up and trade away or cut all the fans' favorite players is as hurtful as a bad breakup. The New Orleans Pelicans had to move on from Anthony Davis's time in the Crescent City after he told them that it was not them; it was him. With a small haul of …
Family carnival business struggling with inflation and labor shortage
Blake Huston runs a third-generation traveling carnival, but soaring fuel, labor, and insurance costs are threatening the family business. Half of U.S. carnivals have closed in nine years. NBC News' Christine Romans reports.
'A disaster': Copperhill, McCaysville businesses slammed by Ocoee flash flooding
Freezers and display cases were flipped over, and soda bottles covered the floor Thursday at the Hometown Foods IGA in McCaysville, Georgia.
RAW: TN: FLOODING- WATER FILLS BUSINESS (ON CAM)
Surveillance camera shows items inside Tennessee furniture store floating around amid flash flooding
12 holiday scams the Better Business Bureau warns shoppers to watch for
From fake toll texts to puppy ads, the Better Business Bureau flags 12 schemes that circulate during the holiday season.
OpenSSH Issues Emergency Fix for Flaw Letting Long Passwords Bypass SSH Auth on Alpine Linux
OpenSSH 10.6p2 fixes a critical password bypass allowing access to key-only accounts on affected Alpine Linux servers using long passwords.
Cleveland Fed’s Hammack says restrictive rates needed to cool inflation
“I expect that monetary policy will need to move to a restrictive stance to bring inflation back to 2% in a timely manner,” Beth Hammack said Thursday, Nov. 5, in remarks prepared for an event in Zurich.
Luka Doncic’s 3rd Straight 40-Point Game Sparks Lakers Against Kings to Continue 3-Game Winning Streak
Despite getting off to a slow start by his own standards Wednesday night against the Sacramento Kings, the NBA’s leading scorer this season, Luka Doncic, would come alive and lead his team to victory. Facing the injury-ridden and dysfunctional Kings, Doncic and the Los Angeles Lakers would shake off a lackluster shooting performance in the …
‘ResearchED’: Building the Case for Learning Science, One Saturday a Time
MAPLEWOOD, Mo. — At your typical education conference, the keynote speaker takes the stage with a big, flashy multimedia slide show and innovative ideas guaranteed to pump up the crowd. But on a recen...
Six-Story Medical Office Building Tops Out At Broward Health North In Deerfield Beach
Florida YIMBY says "Yes In My Backyard" to positive new development in Florida.
Northwestern Receives Encouraging Defensive Injury News Ahead of Iowa
Northwestern received encouraging injury news ahead of Iowa, with Robert Fitzgerald upgraded to probable, Brendan Flakes coming off the availability report and Jon Jon Stevens Jr. listed as questionable.
Motorola Signature 27 goes official with true flagship specs and a $1,599 price tag
Motorola is officially back in the flagship space, with its new Signature 27 phone available for pre-order starting today, but...
Mass Effect petition has enough signatures for the Canadian Government to potentially save BioWare
There may be some good news for Mass Effect and Dragon Age fans hoping for some sort of future for BioWare that isn't death.
Four Match Points, Another Collapse, and the Frances Tiafoe Problem
Frances Tiafoe was serving for the match at 5-4 in the deciding set against Quentin Halys at the Paris Masters after recovering from a disastrous opening set. He took control of the match and put himself within touching distance of the third round, but then he lost his serve. No matter. He still managed to …
Prep talk: Three-sport standout Kai Beary plays role for 27-0 JSerra flag football team
Kai Beary, standout in shotput and soccer, is also a girls' flag football star for unbeaten JSerra High.
Bank of England Raises Rates for First Time in Three Years
The central bank increased interest rates for the first time in more than three years and warned that inflation would climb to about 5 percent next year, far above its target.
Six Flags Entertainment earnings missed by $5.57, revenue was in line with estimates
Six Flags Entertainment earnings missed by $5.57, revenue was in line with estimates
Report: Mets Hire A.J. Ellis To Major-League Coaching Staff
The New York Mets are hiring A.J. Ellis as their major-league strategy coordinator, The Athletic’s Will Sammon reported Wednesday. The club has not yet announced the move. Ellis becomes the latest addition to manager Andy Green’s coaching staff as the Mets continue preparing for the 2027 season. His arrival also reunites Green with a familiar …
Inflation pushes young voters to Democrats in 2026 midterms
Younger Americans are worried about the economy and high prices. They also swung Democrat in the midterms.
Small business loans boost bank earnings in Q3
Rising small business loan demand is bolstering some Inland Northwest banks in the third quarter, but persistent inflation, high interest rates, and trade tariffs are depressing agricultural and commercial borrowing.
Nintendo Switch 2 sales plunge 41% as price hikes and memory crunch bite
Sales of Nintendo's flagship Switch 2 plunged in its fiscal second quarter after the Japanese gaming giant rolled out price hikes amid soaring memory costs.
Mavs' Comeback Comes Up Short Against Victor Wembanyama's Spurs
Despite strong second-half performances from Marshall and Flagg, the Mavericks couldn't finish their rally and dropped to 4-4.
Hackers Exploit Patched Apple Flaw to Deliver Info-Stealing Malware, CISA Says
CISA adds Apple CVE-2024-27834 to its KEV catalog after reports of active exploitation involving a pointer authentication bypass.
Shine Bright for Voyager’s Light‑Day
Use our Automated “V-G-R” Flasher to send your signal to Voyager, or if you want to try Morse code yourself, see our “Shine Bright” Step-by-Step instructions
'The De Los Podcast': Let's talk about Latino mental health
Why are Latinos less likely to seek mental health than other ethnic groups? What might be behind the worsening mental health in our youth? And where do you even start to get therapy? L.A. therapist Guadalupe Cesar-Nuñez answered these questions and more on the latest episode of the De Los Podcast.
'The De Los Podcast': Let's talk about Latino mental health
Why are Latinos less likely to seek mental health than other ethnic groups? What might be behind the worsening mental health in our youth? And where do you even start to get therapy? L.A. therapist Guadalupe Cesar-Nuñez answered these questions and more on the latest episode of the De Los Podcast.
Vehicle goes up in flames outside Dracut business
A large vehicle fire broke out in a Dracut parking lot on Wednesday.
As blue wave crashes, business leaders weigh impact of ballot measures
Chief concern for leaders was Colorado’s Amendment 87, which would end the state’s flat 4.4% income tax, replacing it with a graduated tax system that for some upper incomes would extend rates to beyond 8%.
Scientists solve 30-year-old mystery and discover a hidden defense against inflammation
Scientists have solved a decades-old mystery and uncovered a hidden immune system defense that protects healthy cells from the very inflammation meant to fight infections. The surprising discovery could lead to new approaches for treating cancer, inflammatory bowel disease, and other conditions involving excessive inflammation.
Jake Dickert’s Stand at Wake Forest
Jake Dickert’s name probably comes up more than he would prefer these days. He will tell you that he gets too much credit for his Wake Forest team being 7-1 and in contention for the ACC Championship game. His name also gets mentioned with every college football head coach job opening. And then there is …
Hackers exploited iOS and Android flaws to infect phones
Researchers say group may have been Kremlin-sponsored in search of diplomatic targets.
Cooper Flagg drops rave review on early Dusty May pairing
The Dallas Mavericks opted for a coaching change this season, parting ways with Jason Kidd and replacing him with longtime college coach Dusty May . With a budding superstar on their hands in Cooper Flagg, the Mavericks did what they thought was best in terms of a coach getting the most out of the former No. 1 pick. And so far, the pairing between […] The post Cooper Flagg drops rave review on early Dusty May pairing appeared first on ClutchPoints.
FSU Partners With Special Olympics Florida to Expand Access to Health Screenings
Florida State University students and faculty partnered with Special Olympics Northwest Florida to provide accessible health and wellness screenings for individuals with intellectual and developmental disabilities at The Arc Big Bend in Madison, Fla. on Sept. 23. The Healthy Hearing and Strong Mind event brought together audiologists and students from the School of Communication Science…
Medline plans January price hikes as it decides inflation isn’t going away soon
Despite the squeeze from inflation, the company announced it will a $1 billion share buyback.
Science to Advance Soil Health and Future Directions:
GAINESVILLE, Fla. -- Researchers, students, and professionals working in soil science, environmental science, agriculture, and related fields will gather in Gainesville, Florida, on December 4,...
The Big Ten College Football Playoff Picture: Week 10
The Big Ten is beating itself up and isn't being rewarded as another conference may or may not does. Either way, the CFP rankings are here!
The Miami Heat Are Losing What Made Them Dangerous
The Miami Heat have built their identity around toughness, defensive intensity, and holding opponents accountable. Those qualities have defined the franchise for years, but through the first seven games of the 2026-27 NBA season, the team has struggled to uphold those standards with the Heat's disastrous start. Miami's 138-117 loss to the Los Angeles Lakers …
Breaking Down Penn State Offense Improvement
The Penn State offense has struggled since the beginning of Big Ten play at the end of September. The Nittany Lions didn't score more than 23 points in their last four games; that was until Saturday's 31-17 victory over Purdue. It was a refreshing showing from Taylor Mouser's group. The ground game looked competent, the …
Yankees 2026 Roster Report Cards: Angel Chivilli
Angel Chivilli flashed some potential, but struggled with injuries all season.
Aroma Joe's now open in Bucksport
Aroma Joe's has opened its new location, its 58th in Maine, at 80 US-1 in Bucksport. The newly built, 1,170-square-foot coffeehouse and drive-thru features coffee and espresso drinks, flavor infusions,
Mavs at Spurs Preview: Wemby Vs. 'Dangerous' Dallas Combo
Rookie sensation Cooper Flagg joins Kyrie Irving to challenge Victor Wembanyama’s surging Spurs, as Dallas seeks revenge and a statement win in this high-stakes, nationally televised rivalry.
Antoine Frérot Publishes a Book to Reconcile Business and Society
Antoine Frérot publishes 'De l'entreprise en démocratie' with Flammarion. A call to reform financial capitalism and focus on long-term value creation.
St. Monica High reaches flag football final in inaugural season
St. Monica put together its girls' flag football program for this season and they'll be playing for the Southern Section Division 6 championship.
How space weather shapes young planets
Scientists suspect powerful solar flares helped strip away the atmospheres of planets like Mars. A Michigan State University researcher is now searching for evidence of how those same forces shape planets beyond our solar system. Adina Feinstein, assistant professor of physics and astronomy, believes exoplanets are the key to understanding the early days of our solar system. This week, she received a Schmidt Sciences FirstLight grant to investigate how space weather influences young planets.
Three Trade Partners for the Detroit Tigers This Winter
With the team needing relief pitching and several teams needing outfield help, the Detroit Tigers have several potential trade partners. The Motown team allowed 11 walk-off hits in 2026 and blew 32 saves, both the most by an American League team. Although their offensive core and deep starting rotation will be back for next season, …
FBI arrests Oklahoma man for mailing hundreds of threats to political officials ahead of midterms
FBI agents have arrested an Oklahoma man in connection to hundreds of threatening messages to political and public officials sent in the mail.
Titans’ biggest problem to fix during 2026 bye week
The Tennessee Titans are approaching their 2026 bye week with more questions than answers. Sure, Cam Ward’s development remains central to the franchise’s long-term ambitions. However, Tennessee’s struggles extend well beyond the quarterback position. The offense has shown occasional flashes of explosiveness. The defense, though, has repeatedly […] The post Titans’ biggest problem to fix during 2026 bye week appeared first on ClutchPoints.
Girls' flag football: Tuesday's City Section playoffs scores
Check out Tuesday's girls' flag football scores.
“I Don’t Know If I’m Willing to Do It Just to Fight” – UFC Fans May Have Seen the Last of Beneil Dariush Inside the Octagon
Fans may have already seen the last of Beneil Dariush inside the Octagon. The veteran lightweight has endured a difficult stretch lately, losing four of his last five UFC fights, with all four defeats coming by knockout. Most recently, Dariush was stopped by Quillan Salkilld at UFC Perth in May 2026. Before that, he suffered …
Flats plan for aparthotel in Reading after business changes
City Wall House's apartments are used less following the pandemic, the building's owner says.
How a Ms. Frizzle-esque librarian helped Flagship’s Louisa Helms find biotech
BioSpace 40 Under 40 honoree Louisa Helms is a lot of things—athlete, scientist, entrepreneur and likely future biotech executive. Just don’t ask her to pick up any pipettes.
Michele Tafoya Loses Senate Race Amid Nationwide Democratic Rout
Tafoya came up short against Democratic Lt. Gov Peggy Flanagan.
AFGHS co-signatory countries ask health care users to help fill the financing gap
Hundreds of thousands of Ugandans living with HIV on antiretrovirals could be targeted for user fees or community health insurance schemes requiring modest premium payments, according to the April 2026 version of the country’s America First Global Health Strategy implementation narrative.1 As part of the “sustainable financing for the private not for profit sector” strategy, 491 facilities will be targeted for a phased introduction of user fees and scale up of community health insurance programs.2 In the Ugandan context, PNFP facilities include faith-based hospitals and other health facilities, US missionary organizations and centers of excellence—services that are often co-located at government facilities but run with additional financial and technical resources. 402,000 people—or about 28 percent of the total Ugandan adult PLHIV population on treatment—get ART from the private not for profit sector. The selected facilities provide the majority of ART and prevention of mother to child transmission (PMTCT) services. The plan doesn’t give the total number of clients served by the 491 facilities, so it is not possible to give a precise number. But the majority of 402,000 is a figure in the hundreds of thousands—hence the estimate I’m using.3 The April draft of the Ugandan implementation plan narrative is the only one I’ve been able to review. But the government of Uganda is not alone in turning to health care users to help fill the financing gaps caused by the abrupt withdrawal of US funds. In July 2025, the Government of Liberia introduced user fees for previously free services including “registration, accommodation, patient feeding, hospitalization, and a wide range of surgical and diagnostic procedures.”4 Earlier that year, Liberia rolled out a revolving drug fund designed to stabilize drug supplies by “allowing patients to pay a small fee for standardized, quality medications,” according to a Ministry of Health press release.5 (Both of these approaches had been proposed in the National Health Policy 2022-2031; media coverage explicitly connects the launch with the US foreign aid cuts.) The health financing strategies proposed by Uganda and established in Liberia are qualitatively different from user fees officially adopted by specific health facilities to cover funding shortfalls caused by the new US approach.6 The latter is a stopgap, adhoc change. The former is a national governmental adoption of policies that pass costs on to health care users, despite evidence that such approaches can exacerbate inequities and leave deficits unfilled. Two countries does not make a pattern, but they do point to urgent questions: Have other countries, including Liberia, included user fees or community health insurance schemes in their implementation plans? If so, do any of these narratives have what Uganda’s lacks: a fall-back plan in place in case these strategies for sustainable health systems fail to deliver—as they have before? I wonder if you think about it Subscribe Predictable pitfalls Both community-based health insurance and user fees are as old as the hills. And after decades of people climbing up these hills, duking it out, climbing back down—neither strategy has shown the results the Ugandan implementation plan is counting on. This is, in fact, a hill some folks are willing to die on. (You knew I’d get there, right?) In November 2025, an African-led team of health system experts published a paper directed at low- and middle income country governments trying to figure out how to create self-sustaining health systems. The money wasn’t coming back. It had been more than nine months since the season of freezing, waivering and wood-chippering; two months since AFGHS tumbled into the world touting co-financing requirements and reductions in future US government health aid. Governments were looking for strategies for sustainable, self-financed health systems, the authors wrote. For countries considering user fees and community health insurance to fill the financing gaps, they had a simple message: Don’t. On user fees, the paper states: “Reliance on user fees is ultimately a regressive and inequitable approach. It places a disproportionate burden on the poor and undermines health system goals of equity and financial protection. […] There is overwhelming evidence that user fees mobilise very limited resources for the public health sector, making it an inefficient mechanism for revenue mobilisation.” On community health insurance: “Attempting to shift the burden of funding previously donor-funded services, such as HIV care and management, and TB treatment, onto contributory schemes would exacerbate their fragility and fail to protect the population.”7 The WHO says that community-based health insurance “cannot be expected to provide a major source of funding or coverage,” and noted that most schemes offer only moderate benefit to individuals paying into them, and exclude the poorest segment of the population.8 And yet, the US-Ugandan implementation plan says that community health insurance is “the central pillar of this [PNFP] sustainability strategy” and that this approach that will generate “pre-paid pooled funding at facility and community level [that] improves financial risk protection for households, reduces catastrophic out-of-pocket expenditure, and generates structured, transparent revenue streams that can progressively absorb recurrent costs including health worker salaries.” Unfortunately, Uganda’s own history suggests the pillar might not be able to bear this weight. Ugandans Have Been to this Rodeo Before—and Some Want Their Money Back Uganda introduced its first community health insurance scheme in 1996 with support from international donors.9 Thirty years later, somewhere between 0.2 and 0.3 percent of the population is covered by CHI; just over 1 percent has any kind of health insurance.10 User fees were universally introduced in 1993 as a condition of a World Bank loan.11 They were abandoned in 2001, and in 2004—the year I moved to Uganda to watch the free HIV program get underway—a definitive study found that the fees did not improve health systems and outcomes.12 In 2004, most clinics and hospitals had ‘free’ and ‘fee for service’ options for getting care.13 The fee for service, or “cash and carry” programs had often been established in the years prior to PEPFAR and the Global Fund to Fight AIDS, Tuberculosis and Malaria. People who could afford to paid for the drugs, often at facilities in the private-not-for-profit (PNFP) sector. When free drugs arrived, some people who’d been paying kept on doing so, perhaps because of shorter wait times, greater confidentiality, convenience or other factors. But in the year that I spent visiting the same clinics around the country week after week—including a “center of excellence” that maintained separate days for cash and carry clients and those accessing free ARVs—lots of people who had been paying tried to switch to the free option. They’d paid because they had no other choice. They’d sold pieces of family land, begged family members for loans, bought pills by the week, and sometimes by the day. Or they were just cash-strapped, like most of us, and wanted the funds for other things. 14 Twenty-two years later, this hasn’t changed. Ugandans pay out of pocket for 30-40 percent of their health care costs, leading one paper to declare that “falling ill is more than a health crisis. It is a financial emergency.”15 One recent study found that up to 48.5 percent of households dealing with tuberculosis sold something, took out a loan or dug into savings to defray the costs of TB care—which is supposed to be universally free.16 The Ugandan implementation plan does anticipate challenges. It proposes a phased approach, with 187 facilities introducing user contribution systems in Year 1, 152 in Year 2, and 153 in Year 3. Willingness to pay and feasibility studies will precede roll out; fees will be tiered by region, and a waiver system is proposed to ensure that no one has to pay who is unable to. Moreover, the plan provides for quarterly reviews of epidemiological data to “ensure that user contributions do not compromise epidemic control gains, ART continuity for the client cohort, TB case management, or PMTCT services.” Alt text: A screenshot of a table included in the implementation plan narrative that is the subject of this stack. It’s got a fetching pink bar at the top. It uses the abbreviation “CHI” which is Community Health Insurance, and FBO which is Faith Based Organizations, and it details the number of facilities that will implement user fees with waivers and community health insurance schemes over the five years of the agreement. As I said in the footnote, this is a super interesting document with a lot of other rich material. Tell me what you see—and what you would have focused on. And if you’ve seen something like this, or anything else that strikes you, in another implementation plan, tell me that too. You can use the Substack message platform or try me on Signal at @endaplague_again.25 (because @mercoonfan was, weirdly, taken). But the plan doesn’t fully explain what will happen if this approach doesn’t work out. Yes, progress will be monitored, and corrective action triggered. However, there is no specified funding replacement if premium and fee revenue prove inadequate. Instead, the authors write, “Currently, COEs serve a total client cohort of over 180,000 across 28 facilities. In the initial years, the U.S. Government (USG) will provide financial support for clients; over time, user fees generated by COEs will become the primary source of funding for sustaining their services.” Failure does not really seem to be an option. Health insurance schemes are more acceptable to the Ugandan population than user fees. Members of Parliament and civil society traveled to Ethiopia to see how that country’s scheme worked. In a follow up report, a veteran civil society group recommended allowing the “health insurance ecosystem to grow organically and [to] keep reviewing the law and regulations as this growth takes root.”17 One study found that more than three-quarters of Ugandans were willing to join a health insurance program.18 However, coverage of community-based health insurance is minimal, as is coverage of any kind of insurance—including private plans.19 A national health insurance scheme bill has been stalled for several years and presently sits with President Yoweri Museveni.20 Community-based health insurance scheme that do exist are expanding in number, but losing enrollees. Between 2022 and 2026, the number of community-based health financing schemes across the country increased by 42 percent, while the number of people enrolled decreased by nearly 11 percent.21 None of this means that community-based health insurance should not happen in Uganda—or that people do not want insurance. It doesn’t even mean that user fees and waivers won’t ever work. But there is highly relevant evidence from Uganda and the surrounding region that it is quite optimistic to describe community health insurance and user fees as central supports for sustainable financing in any sector of the health system. And now for the best-case scenario In the best-case scenario22, the Ugandan approach does exactly what it sets out to do, and so does the Liberian fee structure and revolving pharmacy fund—though I’ve not confirmed that these are in the MoU. In one best-case scenario, Uganda is an outlier, and user fees and community health insurance are not recurrent pillars of self-sustaining financing in other countries’ implementation plans. In another best-case scenario, all countries that include these strategies enjoy success beyond anyone’s evidence-informed wildest dreams: reliable funding generated by health care users fees, great health care outcomes for everyone, no exacerbation of inequities, no crippling household debt. No sold land, repurposed school tuition or high-interest loans. In the best-case scenario, not one of the hundreds of thousands of Ugandans living with HIV receiving antiretrovirals from 491 PNFP facilities misses a refill or leaves care because of user fees or community health insurance premiums. This is the best-case scenario for these people for their own health, and for their families. It is also the best-case scenario if Uganda wants to stay on the path to eliminating HIV as a public health threat. According to the country’s most recent data, 96.5 percent of people living with HIV on antiretrovirals are virologically suppressed. Epidemic control depends ensuring that 95% of people living with HIV know their status, 95 percent of those individuals are on ART, and 95% of those individuals are virologically suppressed. Uganda is still struggling with the first “95"—a frankly abysmal 85.3 percent. If HIV epidemic control and the attendant prevention of new infections, avoidable suffering and premature death matter, the country cannot afford to lose any clients who are currently in care.23 As I write this a couple hours before the polls close for the US elections in the city I live in, I say with soul-deep sincerity: I am rooting for the best-case scenario. I think it’s safe to say that we all are.24 I think it’s also safe to say that if the US and co-signatory governments have inked plans that lead to successful expansion of community health insurance and strategic use of user fees, we all would like to know, now, so that we don’t miss the opportunity to celebrate when success happens. The implementation plan narratives have to enter the public domain. They are the fullest expression of a strategy co-created by two governments. There are assumptions and details that people living in the US and co-signatory countries need to understand that are not available in the MoUs or, to date, in the Congressional Notifications. Some of these details can help other countries that are, as I write this, still working on implementation plans. Others, like a solid count of how many other countries have plans for expanding user fees or health insurance, are important for regional and global health architecture reform initiatives. No matter how this election night turns out, there will be a slew of new Congressional member orientations, briefings and talking points papers in the next few months. Release of implementation narratives should be a bullet point in every context that AFGHS is discussed. These documents can be redacted so that procurement sensitive information isn’t disclosed. There is much more historical precedent for sharing such documents than there is for relying on user fees to fill health financing gaps. Let’s look at the information together so we can hope for the best and prepare for, you know, the other thing. Alt text: A substack first: a bicep selfie! It’s my arm - peachy-white skin, black shirt (flannel, notch neck, too hot for this appallingly balmy November weather, if you’re wondering) and a sticker that says I VOTED 2026. Beige letters on red for I voted. Beige on blue for 2026. You bet I did.25 In your wildest dreams. Subscribe 1 This is a really, really rich 95 page document. There are fascinating ideas and detailed plans in it. It is all worth reading AND I have, in this post, highlighted an instance of content that could pose challenges and certainly posits success of strategies that haven’t worked before. I would love to hear what readers’ see that’s interesting and should be lifted up as something to check for in other implementation plans. I will also shortly be adding a static page to the substack site where implementation plan documents will live. I will put the url into this footnote and it will also be there on emilybass.substack.com by the end of the week. Uganda Implementation Narrative Section 4 April 22 2026 Draft 1.51MB ∙ PDF file Download Download 2 User fees are costs charged for visits, labs, medicines or other health services, usually at the time they are provided. Community health insurance, or community-based health insurance, is what the World Health Organization calls “micro insurance,” which is health insurance targeted at low-income people. 3 As usual (by which I mean always), please prove me wrong. 4 https://smartnewsliberia.com/liberias-ministry-of-health-announces-2025-hospital-service-fees-for-public-facilities/?utm 5 https://moh.gov.lr/news/2025/grand-cape-mount-leaders-residents-embrace-new-community-pharmacy-program/?utm 6 https://www.christianitytoday.com/2026/09/hiv-usaid-pepfar-africa-foreign-aid-cuts-mission-hospitals/?utm 7 https://gh.bmj.com/content/10/11/e021270 8 https://www.who.int/news-room/fact-sheets/detail/community-based-health-insurance-CBHI 9 https://pmc.ncbi.nlm.nih.gov/articles/PMC2827475/ 10 https://pmc.ncbi.nlm.nih.gov/articles/PMC10861328/#b3-jpmph-23-110 11 https://pmc.ncbi.nlm.nih.gov/articles/PMC527704/ 12 Same citation as the footnote 2 - the article is called “Learning from failed health care reform in Uganda.” To which I say: If only. If. Only. 13 There is a whole taxonomy of user fees to be aware of, if not commit to memory. Out of pocket costs are everything that someone pays for themselves. In this Stack, user fees are planned and policy-supported out of pocket costs. There are also out of pocket costs that people pay to buy drugs or receive tests or health care assessments that would be free if the drugs were on the shelves, or the machines or kits were available, or the staff were on site. A user fee is usually designed to be modest, pegged to willingness to pay, and may be waiveable at the point of care for anyone who is unable to do so. The costs for things that would otherwise be free are whatever the market will bear and people either have to pay them or go without. Out of pocket costs for services and stuff that aren’t available in public facilities are different again from bribes or unofficial fees that some health workers may impose, even though most are indefatigable, tireless and tired, and devoted to their clients. 14 For the record—which really is these footnotes—I would give a whole stack of fridge magnets for a systematic analysis of the economic and social impact of the Mass Unemployment Event in AFGHS countries among the very people who used to be able to afford and cover user fees, both for themselves and vast family networks. Locally employed USAID technical staff, house cleaners, caregivers, drivers and technicians were financial anchors for cousins, friends, friends’ children, friends’ childrens’ cousins, teachers, pastors, neighbors and so many other kinds of kin. Aid recipients lost direct funding; many other people who had not been aid recipients, but parts of the elaborate care webs that function as safety nets for so many people, lost crucial support too. And that’s even before we get to the people who worked at the hotels and restaurants and bars where people employed by the US and its implementing partners used to spend disposable income. Those businesses have lost revenue; those folks have lost jobs. It will be some time coming—and someone will have to fund this work—but I do hope it happens. And I hope, as usual, to be proven wrong. 15 https://eprcug.org/blog/how-out-of-pocket-healthcare-costs-keep-driving-ugandans-into-poverty/ 16 Another straight-to-the-point journal article title. Households experiencing catastrophic costs due to tuberculosis in Uganda: magnitude and cost drivers. https://pubmed.ncbi.nlm.nih.gov/32938411 17 https://www.cehurd.org/download/technical-policy-brief-on-community-health-insurance-scheme/?wpdmdl=13661&refresh=6ae9122f5d4ed1793659439 18 https://pmc.ncbi.nlm.nih.gov/articles/PMC10125197/ 19 https://pmc.ncbi.nlm.nih.gov/articles/PMC10861328/#b3-jpmph-23-110 20 https://ugandapost.news/uganda-to-make-health-insurance-mandatory-by-2026/ 21 https://shu.org.ug/download/235 22 With a nod, tip of the stack hat, and wag of the Mercoon tail to a deeply valued reader who told me that I have a tendency to speculate about the worst-case scenarios a little too much of the time. 23 https://news.mak.ac.ug/2026/10/uphia-2025-shows-ugandas-hiv-status-awareness-gap-despite-strong-treatment-outcomes/ As you’ll see in the next footnote, I’ve already written a subSubstack on another topic, so I will be brief with regard to the study referenced in this article. The Uganda Population-Based HIV Impact Assessment, or UPHIA, will never happen in this way again. For more than a decade, PHIAs have been supported by the US government as a way to generate accurate estimates of country progress on key HIV indicators. They are a holdover from the PEPFAR program that was laser focused on ensuring US taxpayer dollars subsidized progress in pandemic control. There may be other population-level surveys and the data may even be publicly released, as the entire set of FY2026 MER data have not. But PHIAs will never happen again. If you’re wondering whether the estimates of HIV progress at country level might get less reliable….you’re not alone. 24 Ooh baby, I hate “we” in almost all forms. But sometimes I go there, when I am looking for company, which I am. Because this Stack moves into the somewhat-uncharted territory of assessing what the implementation plan narratives may suggest about co-signatory countries’ roles and responsibilities to the people living within their borders. The MoUs, specimen and data sharing agreements were templates. Countries’ answers fit into pre-specified questions that did not include, “how are you going to fill financing gaps and stabilize your health system as this plan unfolds?” In contrast, the implementation narratives are open form—the product of co-creation between the two governments. Co-creation can mean lots of things, but nothing leads me to believe that implementation plans are ghost-written by the US government, or that contents were imposed by the US counterparts. Instead, I think the parts of the plans that read like country government initiatives are endorsed, if not initiated by, those governments. For instance, the Ugandan implementation plan narrative describes plans for revenue-generation through fees charged for equipment calibration, repair and maintenance provided through Uganda’s National Equipment Calibration Laboratory, and laboratory accreditation through the Uganda National Accreditation Service (UGANAS), targeting private sector, PNFP, research and academic clients. That’s super specific and also quite ambitious. It doesn’t read like an American idea. There’s also a provision for solar panels, and other stuff that feels country owned and driven. This is where it gets interesting. If co-creation is the case, then both the US and co-signatory governments are accountable for the contents and the outcomes. Most discourse about AFGHS to date has focused on the decisions that America has made, or demanded that other countries make. The AFGHS architects have monopolized the hot seat. As they should, in so many ways. America absolutely created the conditions under which countries needed to come up with health financing strategies to fill unanticipated, catastrophic funding gaps. And with not-too-long a lens, we can look back and see that America is also on the hook for its role in the Bretton Woods institutions that made user fees and health system fiscal austerity conditions of loans during the era of structural adjustment. But in the here and now, it is not at all clear to me that the US is requiring Uganda or any other country to implement specific approaches to sustainable financing. Instead, it is as the authors of that paper up in footnote 6 suggest: African governments have agency. As implementation plans roll out—whether or not the narratives are shared—it will be important to understand what this agency looks like and what it means for people, including the poorest of the poor. And it will be important to figure out how to talk about it safely, respectfully and critically in places other than the literal and metaphorical footnotes. 25 This week’s song is “Once upon a time” by the Moody Blues. (I know, this is gonna be a weird, largely banger-free end of 2026 playlist. HMU with requests.) AND please do watch the video and appreciate the truly amazing opening sequence—a drum kit wasteland, a coupla plastic bags, a bit of sand. Sort of like the hill where fiscal austerity policies that put costs on health care users might go to perish. But then there’s a lady with amazing hair. It’s worth it.
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